HomeMy WebLinkAbout4332 MESAVIEW LN - APPLICATIONS - 2/22/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 a
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER /VU O `� 9 APPLICATION DATE
Job Site Address
-133 Z mL-�A
V )L iJ 4d Unit #
PROPERTY OWNER INFO:
(All owner information is required - it is not optional) #
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Last Name 1���'i
S
/Phon'e
First Name �AWV � YL/[✓T Middle
Street Address 3
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City , /LLl.,.1f
State
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CONTRACTOR INFO:
Company Name -
(,- (',O% nl C Contractor Phone #
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Lic. Holder Name �
i/1_ � WL�'LJlnl (r-
City of Fort License # 0
Supervisor Cert # /z
Mailing Address N 3
(.00KA2�r c— (�
/Coollins
City / 7- e_ State Zip �L�o
LEGALINFO: y�/ �t
Subdivision/PUD 17f0 7 (� t;&AI, lr L&jALIP�iF ling #�_ Lot #= Block # Lot Sq Ft_
0
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft Corri Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 7 2nd Floor Sq Ft Unfinished Bsmt Sq Ft BO Finished Bsmt Sq Ft �i
Z # of Bedrooms # of. Full Baths '— % Baths i '/z Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
6. Prescriptive w/Blower Door
UTILITIES INFO: Bouo9711�
Water Tap Size Sewer Tap Size Metered: Yes or No Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
T3 �l✓!OO
Description of Work: 4Tj yi1 /L)J i f"1AAft-1 77) %.u(_09C �P_ 13 /)ICP-7 S
Contact Name & Phone # of JOBSITE SUPERVISOR: SI`Z a k)2..11 ��r 00 ' / 6
Subcontractor Info:
ElectricalptC,,� 4*1''tnl/ 446 Mechanical 177LFT _ /44-C-4 L Plumbing /L rrn/
/ J ^ ASS 1
Si 7F Roofing n//�% Concrete �� Other Framer
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all re irements
contained herein and City of Fort Co fins ordinances and state laws regulating building construction.
Applicant:Signature -- +- Print Name Sn-.�/� (/y� f.�U Phone Zzo yy71t7
stribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE